Active NPI
Helen Mae Murillo
- Behavior Technician
- Pomona, CA
National Provider Identifier
1689015117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB495015
- Practice address
- 801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627 - Phone
- (909) 634-3974
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | BACB495015 | WY | Primary |
Addresses
Primary practice location
801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627
Mailing address
801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627
Phone (909) 634-3974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871063974 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB495015 | WY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1689015117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR STE 210",
"city": "POMONA",
"state": "CA",
"postal_code": "917682627",
"telephone_number": "909-634-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR STE 210",
"city": "POMONA",
"state": "CA",
"postal_code": "917682627",
"telephone_number": "909-634-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "HELEN",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WY",
"license": "BACB495015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871063974",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.